Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
권호 표지
DOI QR코드

DOI QR Code

Pseudoaneurysm of the superficial temporal artery after blunt trauma: case report and literature review

  • Kang, Inho (Department of Plastic and Reconstructive Surgery, Dongguk University College of Medicine) ;
  • Mo, Young Woong (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Severance Hospital, Yonsei University College of Medicine) ;
  • Jung, Gyu Yong (Department of Plastic and Reconstructive Surgery, Dongguk University College of Medicine) ;
  • Shin, Hea Kyeong (Department of Plastic and Reconstructive Surgery, Dongguk University College of Medicine)
  • Received : 2022.04.07
  • Accepted : 2022.06.16
  • Published : 2022.06.20
Download PDF
⟨ Previous Next ⟩

Abstract

An 88-year-old man presented with a left temporal pulsatile mass that developed after blunt trauma. Based on suspicion of hematoma, needle aspiration was performed with the removal of approximately 15 mL of blood. No evident improvement was noted, and active arterial bleeding was observed at the needle puncture site. Doppler ultrasonography revealed a "yin-yang" sign, and the mass was diagnosed as a pseudoaneurysm of the left superficial temporal artery. Under general anesthesia, the superficial temporal artery was ligated and the pseudoaneurysm was removed. Superficial temporal artery pseudoaneurysm is a rare facial tumor that generally occurs after blunt trauma. Due to its rarity, pseudoaneurysms are often misdiagnosed as hematoma. The treatment of choice is excision, although endovascular intervention is a potential treatment option. However, when a pseudoaneurysm is small, conservative treatment can be used.

Keywords

References

  1. Franklin JA, Brigham D, Bogey WM, Powell CS. Treatment of iatrogenic false aneurysms. J Am Coll Surg 2003;197:293-301. https://doi.org/10.1016/S1072-7515(03)00375-2
  2. Conner WC 3rd, Rohrich RJ, Pollock RA. Traumatic aneurysms of the face and temple: a patient report and literature review, 1644 to 1998. Ann Plast Surg 1998;41:321-6. https://doi.org/10.1097/00000637-199809000-00019
  3. Rubio-Palau J, Ferrer-Fuertes A, Garcia-Diez E, Garcia-Linares J, Marti-Pages C, Sieira-Gil R. Traumatic pseudoaneurysm of the superficial temporal artery: case report and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol 2014; 117:e112-4. https://doi.org/10.1016/j.oooo.2013.08.020
  4. Kim SW, Jong Kim E, Sung KY, Kim JT, Kim YH. Treatment protocol of traumatic pseudoaneurysm of the superficial temporal artery. J Craniofac Surg 2013;24:295-8. https://doi.org/10.1097/SCS.0b013e31827136f6
  5. Stapleton CJ, Fusco MR, Thomas AJ, Levy EI, Ogilvy CS. Traumatic pseudoaneurysms of the superficial temporal artery: case series, anatomy, and multidisciplinary treatment considerations. J Clin Neurosci 2014;21:1529-32. https://doi.org/10.1016/j.jocn.2014.02.004
  6. Isaacson G, Kochan PS, Kochan JP. Pseudoaneurysms of the superficial temporal artery: treatment options. Laryngoscope 2004;114:1000-4. https://doi.org/10.1097/00005537-200406000-00008
  7. Roh SG, Kim YS, Kim JL, Shin JY, Lee NH. Soft-tissue osteoma of the temple. Arch Craniofac Surg 2021;22:276-9. https://doi.org/10.7181/acfs.2021.00388
  8. Balligand A, Mulquin N. Pseudoaneurysm of the superficial temporal artery after blunt trauma. Mayo Clin Proc 2020;95: 226-7. https://doi.org/10.1016/j.mayocp.2019.11.009
  9. Nikolakopoulos KM, Papageorgopoulou CP, Ntouvas IG, Kakkos S, Tsolakis I. Palpable mass on the head after minor trauma. Case Rep Vasc Med 2016;2016:1340589.
  10. Nelson M, Szustkiewicz K, Stankard B. Diagnosis of traumatic temporal artery pseudoaneurysm by ultrasound in the emergency department. J Emerg Med 2016;51:572-5. https://doi.org/10.1016/j.jemermed.2016.05.065
  11. Walker MT, Liu BP, Salehi SA, Badve S, Batjer HH. Superficial temporal artery pseudoaneurysm: diagnosis and preoperative planning with CT angiography. AJNR Am J Neuroradiol 2003; 24:147-50.
  12. Alkhaibary A, Alharbi A, Alsubaie N, Alghanim N, Khairy S, Ozair N, et al. Traumatic superficial temporal artery pseudoaneurysm: successful management using endovascular embolization. Radiol Case Rep 2021;17:416-9.
  13. Chun JJ, Choi CY, Wee SY, Song WJ, Jeong HG. Embolization for treating posttraumatic pseudoaneurysm of the sphenopalatine artery. Arch Craniofac Surg 2019;20:251-4. https://doi.org/10.7181/acfs.2019.00227
  14. Hwang JH, Kim WH, Choi JH, Kim KS, Lee SY. Delayed rupture of a posttraumatic retromaxillary pseudoaneurysm causing massive bleeding: a case report. Arch Craniofac Surg 2021; 22:168-72. https://doi.org/10.7181/acfs.2021.00213